Thank you so much for your thoughtful reply. I opened a 'note' to reply to you as I read it!
I thought she DID charge for missed appointments, or at least a cancelation fee - which assuaged me ever-consuming guilt some - but turns out that billing insurance is 'illegal' and that 'practices never do that' even if they're paying privately - which i don't think is actually right - my (crazy NPD) mom had a private practice and I remember her having some sort of fee and me chiding her about never enforcing it. Anyway.
Five week timeline: I had an appointment, the next day I got The Email, cried... like I was having a three day emotional flashback, decided to give myself time to figure out how I felt (haha), and after 2.5 weeks made contact - right when she was leaving town for 2.5 weeks. We met when she got back.
I agree that she would understandably be frustrated, even with an understanding of my health stuff - "What I struggle to understand is how she raised it." EXACTLY. "I know if a therapist raised an issue concerning financial loss and feeling disrespected by me, it would be engraved on my memory." Pretty much anytime criticizes me it's engraved for oh maybe 10, 20 years and given the personal nature of this?? It would be immediate problem-solving time or I wouldn't be comfortable enough to move past it
I know being unable to attend commitments it is an issue for people with chronic health problems. Have you discussed this particular issue with her, (if she is out of pocket as a result?)
Well, from the beginning she's known I get migraines, and when they come on, that's it, I usually tell anyone I'm going to have a regular commitment with on the first day about the nature of that. My knee isn't exactly chronic, my cramps are only offing insane SOMEtimes, etc.
One of the things I find worrying is that she responded to your feelings about ableism with a kind of threat/suggestion that you can go elsewhere
-i know!!!!! not only is that disrespectful in a larger sense, it really hurt my feelings just for her to say that to me after such a long relationship
In reply to your longer paragraph at the end - no you're totally right to think about it in this way as well. At one point in all this she pointed out that, not only does a same day cancel mean someone else loses an opportunity to have that time, but she's out $50, and "she knows I can't cover that." While i AM on the far end of broke, i didn't appreciate her assuming that/not giving me a chance to work something out. My partner could help me, and since my appointments are covered by state insurance, (approximately) $50/month for therapy is something I could probably swing.
AARRGGHH.
I don't know what I'm going to do yet but I am extremely grateful to you for helping me think about it, radical, thank you.